Report #2837438

Received Apr 23, 2025

ER / ED visit

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Overview

Sex: Male
Age: 4 yrs
State: MA
Recovered: Recovered
Vaccinated: Apr 22, 2025
Onset: Apr 22, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
DTAPIPV	DTAP + IPV (QUADRACEL)	SANOFI PASTEUR	2	U8209CB	IM / RA
MMRV	MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD)	MERCK & CO. INC.	5	Y017516	SC / LA

Symptoms (2)

ErythemaEye swelling

Symptom narrative

Mother called PPA at 2:20 pm to report bilateral eye swelling and one red spot located on the pt's skin. No SOB, cough or wheeze. Mother advised to have pt seen at the ED. Pt was then seen at ED, Epi-Pen administered and then pt was observed for 5 hours. Pt was then discharged.

Medical history

Williams Syndrome, Food Allergy, Hypothyroid, Cardiac arrest / Murmur, Autism, Behavior Concern, Supravalvular Aortic

Other medications

Levothyroxine, Famotidine

Allergies

Lamb, Pork